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Medication reconciliation — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareMedication reconciliationUSMLE Step 3

A primary care clinic finds that patients discharged from the hospital often have duplicate antihypertensives and unclear stop dates. Two readmissions involved hypotension. The team wants a practical systems intervention. Which of the following is the most appropriate quality improvement measure?

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Correct answer: DImplement pharmacist-supported medication reconciliation after discharge

Medication reconciliation at transitions of care reduces discrepancies and preventable medication-related harm.

Reference: AMA Code of Medical Ethics; AHRQ patient safety guidance